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Claim by Denise Ellison Copyrighted December 2, 2024 City of Dubuque CONSENT ITEMS # 2. City Council ITEM TITLE: Notice of Claims and Suits SUMMARY: Denise Ellison for personal injury; Bryn Kittle for vehicle damage. SUGGUESTED Receive and File; Refer to City Attorney DISPOSITION: ATTACHMENTS: 1. Claim by Denise Ellison 2. Claim by Bryn Kittle Page 53 of 645 '�'�''1 rI�1,,� �c�c� CLAIM AGAINST THE CITY QF DUBUQUE, IOWA ..��f��M�°��-��,.�,,��,�, �`� This written report constitutes your claim against the City of Dubuque, lowa. You should complete this form in full and attach any addition�l information that supports your claim. The Claim must be filed with the City Clerk at City Hall, 50 W. 13t" St., Dubuque, IA 52001. It will then be referred by the City Council to the appropriate department for investigation. Once that investigation is completed, a report and recommendation will be submitted to the City Council. You will be provided with a copy of that report and recommendation. THE FINAL DECISION ON ALL CLAIMS IS MADE BY THE CITY COUNCIL. NO EMPLOYEE OF THE CITY OF DUBUQUE HAS THE AUTHORITY TO MAKE ANY REPRESENTATION TO YOU AS TO WHETHER YOUR CLAIM WILL OR WILL NOT BE PAID. 1. Nam�e of rlaimant: _..��t �L� �� l.\��t� 4 � 1 2. Address: _1� � �i ���--t(�(��(`� ��i�, � �� City: �l��<�CG t a � State: � c;�� Zip: ���C�2., 3. Telephone Number: ,� �r,�';�- ,�(�, �� 6 �,�.�} 4. Date of Incident: �(� f���-` 5. Time of Incident: .�'� � c� "'� � ��-� 6. Location of Incident (Be specific): � � % �;pY,�l ����� f���ir�r'r�r�r���� �`�/ 7. DESCRIBE ACCIDENT OR OCCURRENCE THAT CAUSED INJURY OR DAMAGE. (Give full details upon which you base your claim. If a City employee was involved, give the employee's name.)���1 � (�� t �l �t��%�`�i(�rl � ����. ���a��r�l��L�,�t���°r.�r�4.� �C�t�t��?t , , , � . , - . , , . . , , , . �, . , � . �, f� � . � ��� �� �� � �� � � �� �./ � ����� � �r'"t3` ��rt� -�,1!���� .�.'. �; f�l � � ��� �"fi� � ,.,� ��-�"�" �?�� ��l',�V�f"`;�/C{.fi'l ,� �' � . h , � � �rt , , . . � ____ _ � ��..1 �.:�r - �� s�,-, �,� c1 h . �(� ��. F" �-t-��, ++�i� �-' s ��2.� -� �3 � . � - '---.-._�`� ��_::_+�i�-trn�,x �eL11 f�r t i t�f �� c ���� � _ . . . �- � , ,-_____-_--...___---_— _____�.__ -- -.�.--� , ,.. -._.c_ -,- ------: _ .__ �u�-�..L��8. What were weather conditions like? �-c�, (� �C �,+�� c�� �� �r�t�� ' � ��' ��`i�;� 1� aF�. U�u�.S �c�e, z�� C��,�; ��.��,� �as 9. Give name and ddr,ess of any witnesses: � �' � � ° ` l�p,�. �r-,Jc�� -Y- i�� �'�� ��`-�S °� `J�1C;l��C1, �L ��-k tv�-�Y't�� �ti`� ,�^ ,_n c��k' , y . ' ��� �r�. ��.� (�'��\J�' YL r�u�610. Did police investigate? (If so, give names of officers.) "�.r� �� � ,,����� ��v ��,r , `��S'���,�.��, �- � , � . , � �, �� �- `� � � ,��5 � �}�.,�,c �t� t.,l� by �-�1�. �p�c�,°m�. °;c�a 11. W�anyone injured? (If so, give names, addresses, and extent of injuries). �` lA,�l UB.1yl `vr `1�L� ,\` ll���.W1 i ���i c��in� ct../\ 1 l�� l� t�l�� � ��� �Lf����Y'��� _r �,;�- t� {� > �� r �,�: �1� 1(��� � -�C�c�,� �-y °�,�C� �,.�e'ceC� 'v.�:'�� �•�t�. �:n� �c���'. (?��;�1 �.il� ` :�, �,'�� �-��`cR:�--e � �C�U�e. �ler�.( l� ��'Q�n(�, m�i ib��t �nee5���i ����a��-�� �� +�; 12. Was any damage done to property? (If so, describe property and the extent of damages. Attach estimates of damages or describe basis for ascertaining extent of damage.) � ��- 13. What other damages do you claim, if any? ,,�j` /� 14. Have you been compensated for any part or all of your claim by any insurance company? (If so, give name and address of insurance company and amount paid.) �� 15. What amount do you claim from the City of Dubuque?`��� � 16. Why do ou claim the Cit� of Dubuque is responsible? , ' -� � f, ,a � � ,. �� h.� L� t�� f 17. Have you made any claim against anyone else for damages as a result of this incident? (If yes, give name and address.) ;���— ,� 18. If the answer to Question 17 is yes, have you received any payment from that source, and if so, in what amount? .� � �� ' � Dated at Dubuque, lowa this `� day of (���"���,�:� , 20�. 1( ,, _ � . _,.��.l`�'�t.�-�- .�.��--R�----�-_ (Signature) t�� ������� � � � ����`� Print Name � " - � ) � - -�- ;-_ (Rev. 9/24) _ Page 55 of 645 Copyrighted December 2, 2024 City of Dubuque CONSENT ITEMS # 3. City Council ITEM TITLE: Disposition of Claims SUMMARY: City Attorney advising that the following claims have been referred to Public Entity Risk Services of lowa, the agent for the lowa Communities Assurance Pool: Jamie Doyle for personal injury and vehicle damage; Denise Ellison for personal injury. SUGGUESTED Receive and File; Concur DISPOSITION: ATTACHMENTS: 1. ICAP Referral Page 58 of 645 THE CITY OF DUB E MEMORANDUM Masterpiece on the Mississippi JONI MEDINGER LEGAL ADMINISTRATIVE ASSISTANT To: Mayor Brad M. Cavanagh and Members of the City Council DATE: 11/19/2024 RE: Claim Against the City of Dubuque by Denise Ellison Claimant Date of Claim Date of Incident Nature of Claim Denise Ellison 11/14/2024 10/22/2024 Personal Injury This is a claim in which Claimant alleges Claimant and Claimant's children were injured when a City bus driver "slammed on his breaks" which caused Claimant and children "to come flying down your seats" and "on to the wall after impact". This claim has been referred to the lowa Communities Assurance Pool. cc: Michael C. Van Milligen, City Manager Ryan Knuckey, Director of Transportation Services Denise Ellison OFFICE OF THE CITY ATTORNEY DUBUQUE, IOWA SUITE 330, HARBOR VIEW PLACE, 300 MAIN STREET DUBUQUE, IA 52001-6944 TE�EPHONE (563)589-4113/Fax (563)583-1040/Ennai� jmedinge@cityofdubuque.org Page 60 of 645